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Individual

DR. PRAVEEN KUMAR CONJEEVARAM SELVAKUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
9500 EUCLID AVE, DESK A11, CLEVELAND, OH 44195-0001
(216) 444-6003
(216) 445-8241
Mailing address
9500 EUCLID AVE, DESK A11, CLEVELAND, OH 44195-0001
(216) 444-6003
(216) 445-8241

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301098413
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
0101268263
VA
2080P0206X
Pediatric Gastroenterology Physician
57.024051
OH

Other

Enumeration date
11/21/2011
Last updated
01/28/2026
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